Inspection on 13/07/05 for Franklin House

This inspection was carried out on 13th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Franklin House 02/07/07

Franklin House 13/06/06

Franklin House 07/03/06

Franklin House 08/02/05

Franklin House 20/07/04

Franklin House 22/01/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Franklin House 4 Franklin Street Oldham OL1 2DP Lead Inspector Carol Makin Announced 13 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Franklin House Address 4 Franklin Street, Oldham, OL1 2DP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 678 7870 Mr Harold Hilton & Mrs Margaret Smith Mrs Marie Louise Powers CRH - Care Home 38 Category(ies) of DE(E) Dementia over 65 (14) registration, with number OP Old Age (23) of places SI(E) Sensory Impairment over 65 (1) Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 23 OP, up to 14 DE(E) and up to 1 SI (E). Date of last inspection 8th February 2005 Brief Description of the Service: Franklin House is a detached, purpose built property, registered to accommodate 38 people. The home is privately owned and is situated in fairly close proximity to Oldham town centre. Accommodation for service users is situated on the ground floor. All bedrooms are single, 28 of which have en-suite toilet facilities. The home is built on a quadrangle with a central courtyard. Lift access is provided to the lower ground floor, which houses the laundry and provides access to a garden area. Car parking space is available at the front of the building. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 13th July 2005. Action had been taken in relation to the requirements, which were made as a result of previous inspections. Some had been fully addressed, but others required further improvement to achieve full compliance with the National Minimum Standards and the Regulations. The inspector spoke with some of the residents, members of staff and three relatives, and carried out a partial inspection of the premises and examined records. Comment cards were sent to ten residents, ten visiting health professionals and ten relatives. At the time of writing this report, comments cards had been returned to the Commission for Social Care Inspection by four residents, three health professionals and six relatives, all of whom responded positively regarding the service provided at Franklin House. Verbal feedback of the findings of the inspection was given to the manager and the registered person at the end of the inspection. What the service does well: What has improved since the last inspection? Further training had been provided for management and staff. Some redecoration had been carried out and new carpets had been fitted in the corridors, entrance/reception area and several bedrooms. A new system of care planning had been put into place. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 6 There had been improvements in the way in which the home dealt with medication. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Assessments of residents’ care needs were not completed before they moved into the home. EVIDENCE: The files which were inspected contained assessments of residents’ needs in relation to daily living activities, which had been completed by the home on the day of admission. Pre-admission assessments were not available, but the manager said that prospective residents were visited prior to admission, to assess their needs. Community care assessments were available on the files, but the content varied and the information provided prior to admission to the home was brief. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 9 More work is needed to ensure that all the health, personal and social care needs of residents are fully met. Improvements were noted in handling, storage and disposal of medication. EVIDENCE: A new and improved system of care planning had been implemented since the last inspection, which management and staff felt was working well. The outline care plans in residents’ rooms continued to be used alongside the new care plans. Files contained an agreement of the care plan, which had been signed by the manager, but not the resident or their advocate. Care plans and risk assessments had been reviewed, but this needed to be done more frequently. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 10 Residents’ weight was recorded on admission, but not always each month and there was no information to indicate whether significant changes in weight had been investigated. The manager explained that the scales sometimes gave an inaccurate reading, which could be as much as a stone in error. It is important that regular checks are made of residents’ weight and that the readings are accurate, to assist in monitoring their general health and wellbeing. Information about residents’ dietary needs was included in assessments and care plans, but specific nutritional assessments had not been carried out on admission. The file for a resident who had special dietary needs for medical reasons, made specific reference to a ‘diet intake sheet’, but none was available. The manager explained that this was not needed, as the resident did not have any problems with diet and eating. Medicine records which were checked were found to be in order and the requirements made by the pharmacist inspector previously had been addressed. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 14 Residents enjoy a flexible lifestyle in the home and maintain contact with their families and friends. EVIDENCE: Residents felt that the routines of daily living within the home were flexible and they were satisfied with the activities provided. Activities included sing–songs, bingo, darts, card games, dominoes and ‘armchair’ exercises. Entertainers came in regularly and there were trips out, e.g., theatre, shopping. One resident enjoyed helping in the garden and the greenhouse. Residents were able to take part in activities and spend time in their rooms as they wished. Residents and visitors who spoke with the inspector confirmed that visiting was able to take place at any reasonable time and said that visitors were made welcome by the staff. Visitors could also have a meal with their relative, if they wished to do so. Information provided for inspection indicated that residents were able to access their own personal records in accordance with current legislation and, where possible, they handled their own financial affairs. Four residents did so at the time of the inspection. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 12 They were also able to bring in furniture and other personal possessions of their choice to meet their needs. There were also choices of meals each day. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Staff had received training to protect residents from abuse. EVIDENCE: Since the last inspection managers and care staff had received training regarding ‘Abuse Awareness’. Staff who were interviewed were able to demonstrate an awareness of different forms of abuse and knew what do if an incident of abuse was to occur in the home. The manager said that training in relation to this standard was ongoing. She also confirmed that policies and procedures regarding the protection of vulnerable adults were in place and had been reviewed in June 2005. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 21, 22, 23, 24 & 26 The home is suitable to meet the needs of residents. It was clean and the owners were maintaining the property and providing equipment and pleasant accommodation for the people who live there. EVIDENCE: Since the last inspection, new carpets had been fitted in the corridors, entrance/reception area and several bedrooms. Some redecoration had also been carried out. The accommodation was clean and free from unpleasant odours, and residents and relatives confirmed that this was the normal standard of cleanliness within the home. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 15 Residents were satisfied with their rooms and were able to bring in furniture and other personal possessions of their choice to meet their needs and make the rooms homely. The accommodation is purpose built and aids to independence were provided in bathrooms and toilets. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29 & 30 Overall, the training programme for staff was suitable for meeting the needs of the residents. Procedures for recruiting new staff were satisfactory. EVIDENCE: The registered person stated that 15 of the 22 care staff who were employed at the home had achieved a NVQ level 2 qualification. The files of two members of staff were inspected and the procedures for recruiting new staff were found to be satisfactory. Details were provided of a range of training which staff had received during the 12 month period prior to this inspection and future training planned, which indicated that a training programme in accordance with the national minimum standards had been implemented in the home. At interview staff also gave information about the training which they had received. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 36 & 37 Residents’ financial interests were safeguarded. The frequency of staff supervision needed to be increased. Many records were appropriately kept, but some recording could be improved. EVIDENCE: Records of money held in safekeeping for residents were selected at random for inspection and were found to be in order. Staff had received formal supervision and appraisals, but this needed to be done more frequently. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 18 Reports of visits to the home made by the owner in accordance with the regulations were available in the home, and many other records were up to date and had been correctly completed. Those records where improvements were needed have been noted previously when reporting on compliance with standards 7 & 8. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION x x 3 3 3 3 x 3 STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x 3 2 2 x Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 20 Are there any outstanding requirements from the last inspection? Yes, 2, 3 & 4,listed below, although progress was noted. STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation 14 Requirement Timescale for action 13/07/05 2. 7, 37 13,15 3. 8, 37 14 4. 36 18 The registered person must ensure that the home’s preadmission assessment of residents care needs has been completed. The registered person must 13/07/05 ensure that care plans and risk assessments are reviewed to meet the changing needs of service users, and routinely at least once a month, and are signed by the resident or their advocate. The registered person must 13/07/05 ensure that nutritional screening and recording of service users weight is undertaken on admission and subsequently on a periodic basis, in accordance with the National Minimum Standards. The registered person must 01/12/05 ensure that formal supervision is provided for all staff in accordance with this standard. Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Franklin House F54 F04 s5507 Franklin Hse ann v230306 130705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 0QD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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